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首页> 外文期刊>Psychosomatic Medicine: Journal of the American Psychosomatic Society >Psychosocial factors in patients with noncardiac chest pain.
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Psychosocial factors in patients with noncardiac chest pain.

机译：非心源性胸痛患者的社会心理因素。

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摘要

OBJECTIVE: This study sought to explore some psychosocial factors that distinguished individuals with noncardiac chest pain (NCCP) from those without NCCP, and whether these psychosocial factors were associated with anxiety and depression that are co-morbid factors of NCCP. METHODS: A matched case-control design was adopted to compare differences in psychosocial factors among a target group of patients with NCCP (N = 70), a pain control group of patients with rheumatism (N = 70), and a community control group of healthy individuals (N = 70). RESULTS: Compared with subjects from the two control groups, NCCP patients tended to monitor more, use more problem-focused coping, display a coping pattern with a poorer strategy-situation fit, and receive less emotional support in times of stress. Moreover, monitoring perceptual style and problem-focused coping were associated with higher levels of anxiety and depression. Coping pattern with a strategy-situation fit and emotional support were related to lower levels of anxiety and depression. CONCLUSIONS: The present new findings suggest that monitoring perceptual style and inflexible coping style are risk factors that enhance one's vulnerability to NCCP. Emotional support may be a resource factor that reduces one's susceptibility to NCCP.
机译：目的：本研究旨在探讨一些区分非心源性胸痛（NCCP）和非NCCP的心理社会因素，以及这些心理社会因素是否与焦虑和抑郁有关，而焦虑和抑郁是NCCP的合并症。方法：采用配对病例对照设计，比较目标人群中的NCCP患者（N = 70），风湿病患者的疼痛对照组（N = 70）和社区对照组的心理社会因素之间的差异。健康个体（N = 70）。结果：与两个对照组的受试者相比，NCCP患者倾向于监测更多，使用更多以问题为中心的应对方法，表现出较差的策略-情况适应性的应对模式，并且在压力下获得的情感支持较少。此外，监测知觉风格和以问题为中心的应对方式与更高水平的焦虑和抑郁相关。应对策略，策略适合性和情感支持与较低的焦虑和抑郁水平有关。结论：目前的新发现表明，监测知觉方式和不灵活的应对方式是增加人对NCCP脆弱性的危险因素。情感支持可能是降低个人对NCCP敏感性的一种资源因素。

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